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DEVELOPMENTAL DISABILITIES INSTITUTE INC NPI 1720229966


NPI Information

NPI: 1720229966
Provider Name: DEVELOPMENTAL DISABILITIES INSTITUTE INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
99 HOLLYWOOD DR
SMITHTOWN, NY
ZIP 11787
Phone: (631) 366-2900
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DEVELOPMENTAL DISABILITIES INSTITUTE INC is a community health clinic center in Smithtown, NY. DEVELOPMENTAL DISABILITIES INSTITUTE INC NPI is 1720229966. The provider is registered as an organization entity type.

The provider's business location address is:

99 HOLLYWOOD DR
SMITHTOWN, NY
ZIP 11787-135
Phone: (631) 366-2900

The provider's authorized official is Ann-marie Roza .
The authorized official title is Chief Financial Officer and has the following contact phone number (631) 366-2960.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 6/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A100001455MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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